La'Dazia Sumler

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

6296 Village Square Drive, Suite 2
Bridgeport, MI 48722

Phone

(989) 401-1239

NPI assigned

Mar 2, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1669129409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5039 VILLA LINDE PKWY STE 30",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323450",
            "telephone_number": "989-401-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6296 VILLAGE SQUARE DRIVE, SUITE 2",
            "city": "BRIDGEPORT",
            "state": "MI",
            "postal_code": "48722",
            "telephone_number": "989-401-1239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMLER",
        "first_name": "LA'DAZIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-03-02",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skyla Snable
• Lauren Elizabeth Somerville
• Jasmin Stewart
• Nicole Stewart
• Joel Alan Studebaker, BS
• Carolyn Ann Surles, BS
• Maddison Olivia Sutter
• Kelley Lynn Swanson
• Sheerner McKinley Sweeney
• Madisyn Tabor

• Behavior Technician in Bridgeport, MI
• Providers in Bridgeport, MI by specialty
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.